Can special glasses or eyedrops stop kids' eyesight from getting worse?
NCT ID NCT07095894
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests two treatments to slow the progression of myopia (nearsightedness) in children aged 5 to 12. One treatment uses special glasses with tiny lenslets that may reduce eye growth, and the other uses low-dose atropine eyedrops. Over 300 children will be followed for 2 years to see if these treatments slow the worsening of their vision better than standard glasses or placebo drops.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- 0.05% atropine eyedrops and spectacle lenses with highly aspherical lenslets (H.A.L.T.)
- What this could lead to
- If successful, this could provide a safe, non-surgical way to slow worsening nearsightedness in children, reducing the need for stronger prescriptions and lowering future eye health risks.
- What could go wrong
- This is a Phase 3 trial, but results from earlier studies have been mixed, especially in non-Asian children. The treatments may not work as well in this broader group, and atropine can cause side effects like light sensitivity or blurry near vision.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 348 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jun 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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5 to 11 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 5 years to \<12 years at time of enrollment. Children within 4 weeks of their 12th birthday are not eligible. 2. Refractive error meeting the following by cycloplegic autorefraction: * Myopia of 0.75D to 6.00D SER and at least 0.75D in both principal meridians of each eye * Astigmatism \<2.50D both eyes * Anisometropia \<1.50D SER 3. Investigator has confirmed the following regarding best-corrected distance visual acuity (VA) in habitual spectacles or trial frames using the investigator's preferred VA testing method: * VA is age normal in both eyes1,2 * 5-6 years: approximately 20/32 or better, ≤ 0.24 logMAR, ≥ 73 letters * 7-12 years: approximately 20/25 or better, ≤ 0.14 logMAR, ≥ 78 letters * Interocular difference ≤2 logMAR lines (0.2 logMAR) or ≤ 10 letters 4. Wearing spectacles by parent report ≥90% of waking hours ≥30 days duration before enrollment. For children who meet all other inclusion criteria but whose single-vision spectacles are broken or lost within the last 90 days, enrollment can proceed as long as the child was wearing their single-vision spectacles ≥90% of waking hours ≥30 days before the spectacles were broken or lost. 5. Gestational age ≥ 32 weeks. 6. Birth weight \>1500 g. 7. Parent(s) and assenting child understand the study procedures and are willing to accept randomization to atropine 0.05%, HAL lenses, atropine combined with HAL lenses, or placebo (i.e., neither active treatment). 8. Parent is willing to participate in a 2- to 4-week run-in phase using nightly artificial tear eyedrops in both eyes. 9. Family can return in 2 to 4 weeks for possible randomization. 10. Child is willing to refrain from contact lenses for the duration of the study. 11. Parent has a phone (or access to a phone) and is willing to be contacted by the clinical site staff. 12. Relocation outside of the area of an active PEDIG site within the next 32 months is not anticipated. Exclusion Criteria: 1. Current or previous pharmacologic or light therapy used for myopia treatment. 2. Current or prior contact lens wear more than 7 days in the past 12 months 3. Current or previous use of bifocals, progressive-addition lenses, multi-focal contact lenses, or focus- or contrast-modifying spectacle lenses. 4. Current or previous use of orthokeratology, rigid gas permeable, or other contact lenses used to slow myopia progression. 5. Current or previous myopia control treatment or other uses of atropine, pirenzepine or other anti-muscarinic agents. 6. Known atropine allergy 7. Known allergy to shellfish 8. Abnormality of the cornea, lens, central retina, iris, or ciliary body 9. Current constant or intermittent strabismus (phorias are acceptable) 10. Verified history of amblyopia or nystagmus. 11. Prior strabismus, intraocular, or refractive surgery 12. Down syndrome or cerebral palsy 13. Diseases known to affect accommodation, vergence, or ocular motility (e.g., multiple sclerosis, Graves' disease, myasthenia gravis, diabetes mellitus) 14. Any condition that, in the judgment of the investigator, could influence refractive error development. 15. Existing conditions in the opinion of the investigator that may affect the long-term health of the eye or require regular pharmacologic treatment that may adversely interact with study medication (e.g., JIA, glaucoma, pre-diabetes). 16. Inability to comprehend and/or perform any study-related procedures. 17. Individuals who are pregnant, lactating, or intending to become pregnant within the next 30 months. a. A negative urine pregnancy test at randomization and the 6-, 12-, 18-, and 24-month follow-up visits will be required for individuals who have experienced menarche (at least one menstrual cycle). 18. Immediate family member (spouse, biological or legal guardian, child, sibling, parent) who is investigative site personnel directly affiliated with this study or who is an employee of the Jaeb Center for Health Research. 19. Sibling of, or living in the same household as, another child who is concurrently enrolled in the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
17 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ann & Robert H. Lurie Children's Hospital of Chicago
RECRUITINGChicago, Illinois, 60611, United States
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Boston Children's Hospital Waltham
RECRUITINGBoston, Massachusetts, 02453, United States
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Casey Eye Institute
RECRUITINGPortland, Oregon, 97239, United States
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Corewell Health
RECRUITINGGrand Rapids, Michigan, 49503, United States
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Duke University Eye Center
RECRUITINGDurham, North Carolina, 27710, United States
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Illinois College of Optometry
RECRUITINGChicago, Illinois, 60616, United States
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Marshall B. Ketchum University
RECRUITINGFullerton, California, 92831, United States
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Ohio State University College of Optometry
RECRUITINGColumbus, Ohio, 43210-1280, United States
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Pediatric Ophthalmology Associates, Inc.
RECRUITINGColumbus, Ohio, 43205, United States
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Pennsylvania College of Optometry, Salus at Drexel University
RECRUITINGPhiladelphia, Pennsylvania, 19141, United States
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Rocky Mountain Eye Care Associates
RECRUITINGSalt Lake City, Utah, 84107, United States
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Stanford University
RECRUITINGPalo Alto, California, 94303, United States
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UAB Pediatric Eye Care; Birmingham Health Care
RECRUITINGBirmingham, Alabama, 35294, United States
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University of Arizona
RECRUITINGTucson, Arizona, 85711, United States
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University of Houston - College of Optometry
RECRUITINGHouston, Texas, 77204, United States
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Vanderbilt University Medical Center - Vanderbilt Eye Institute
RECRUITINGNashville, Tennessee, 37232, United States
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Virginia Pediatric Eye Center
RECRUITINGNorfolk, Virginia, 23502, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can AI protect Kids' eyesight where eye doctors are scarce?
- Two toric lenses go head to head in vision test
- Eye scans as a window to the body: study probes retinal imaging across diseases
- Lens showdown: which contact lens wins in dim light?
- Myopia glasses may keep working even after kids take them off
- Can glasses that slow nearsightedness also reshape a Child's astigmatism?